Individual provider Active NPI

Jeffrey L Oberman, MD

  • Ophthalmology Physician
  • Fairfield, CT
National Provider Identifier
1033171608
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
021993 Issued in CT
Practice address
1 Sasco Hill Rd # 202
Fairfield, CT 06824-5670
Phone
(203) 221-0545
Fax
(203) 221-0592
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 021993 CT Primary

Addresses

Primary practice location

1 Sasco Hill Rd # 202
Fairfield, CT 06824-5670

Mailing address

1 Sasco Hill Rd # 202
Fairfield, CT 06824-5670
Phone (203) 221-0545

Other identifiers 1

IdentifierTypeStateIssuer
001219930MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000114 CT Practitioner - Ophthalmology 3870515885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

57 N St
Suite 415
Danbury, CT 06810-5629
Phone (203) 794-0117

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021993CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Norwalk Surgery Center, LLC Current Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients

Locations

47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020

57 North St
Ste 415
Danbury, CT 06810
Phone (203) 794-0117

1 Sasco Hill Rd
Ste 202
Fairfield, CT 06824
Phone (203) 221-0545

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

22 Old Waterbury Rd
Ste 106
Southbury, CT 06488
Phone (203) 739-7040

87 Grandview Ave
Waterbury, CT 06708
Phone (203) 465-1353

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1033171608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SASCO HILL RD # 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245670",
            "telephone_number": "203-221-0545",
            "fax_number": "203-221-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SASCO HILL RD # 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245670",
            "telephone_number": "203-221-0545",
            "fax_number": "203-221-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMAN",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "021993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001219930",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.